EFTA Document EFTA01379153

II. Certification of beneficial owner(s) Persons opening an account on behalf of a legal entity must provide the following information: a. NRITIR and Titie of Natural Person Opening Account; `1. C Ciriiret A ) (3 4.5 4Ss .. -. kt t‘-k--- Ce.I SA- Cs .6.1e aJoi nu. S-O1 tU t tailer ;9%31 Entity. Type of Legal Entity, and Address of Legal Einirn ler 'Which the Accourn is Being Opened. • R....„( kn„, 4, usu t t.,,, ki„.4 Jot (4 4.41 ‘ 44)4 itoo tea cc-L.4>C4 0,a„virov -i (33 ff - \i"Lbva OS J( o DT° c Tea fc4hw;ng information for each lnewidoal. if eny, who, clirectiy or indirectly, threugh any contract, atrang:wile:it: tr-de.:Ft relaticns?•;no' care-.i.se. owns 25 oercenr , o:' (flora of the equity interests of the legal entity listen above: !O. TeWnin 6.4,erfeiri (::)too ieah pieuva,A05 03 0'0 CaroI r44 : For f000•liS. Notoos: SgmAg.t. i5t,e WirCia 1 fC4 .11(4r3itik, tollacial Slant* 1•440 7,>E S, ”vsorai.ei p: Scout 3,,,c;;!:ti kofitUm ,r g Rnp...x., farl,..!*ftll Count, 31 vo:ntlf4onloo two 4-433be-_,:r r.=Ferir !Ind ciuntry Of inulince eurzytiltitr griernMent-aivtd dotastiftn: eVOOMIty inc$10X:e end nanny t chOtOgi.iii be pt,Indic5. Of no .4-4rodwo moots %hag ochretion. Meow write 'Hot Arteritves.1 d. The following information for uneindivIdual with significant reaponsibility for managing Inc legal entity lined above. stmt.: as: • An executive' Weer or senkX manager (e.g., Chief Execufiva Officer. Chief Financial Officer, Chief Operating Ofliter. Managing Member. General Partner, President, Vice President, Treasurer); or • Any other individual who regularly mforms S;51a5 functions. (If appropriate, an individual tiste.d under section (c) above [nay also tie listed In thus section (0)i. Horn. 7.4ieowte Sows-t— ' For 1:133.uS end Lit.* .of lila be F 040 it of Solt .tern Artorow ror half:tsars. S.'343e1,34E434 Kuinber For Non.u.S flown f. w4443444 i for allOnWir,ei to Sowl tt000ltet.ofroon iftmlerebt- '.e.stZbIS2ciiill, NI; mbe or 304,244X: nainbe ,;c,thC'ountrool !Ealanc• Er intntvr f oth 'm gent :mu or F4. rle,..SN mientiet n <et:dente find tooneg a ohcogi aft or Orep...2iz Nuald (na my utowiedge, vlat the n4tion prowled above ble../jtafrf 'Min; :delgelll (0PtI0nal.) of nacurai person opening the account) hereby certify, to the best of complete and correct 43201ft 0rnsiolv 8333 Art.' AI ry yrs tasteti. WO1898(le 02$819.0.91319 CONFIDENTIAL - PURSUANT TO FED. R. CRIM. P. 6(e) DB-SDNY-0076467 CONFIDENTIAL SDNY_GM_00222651 EFTA01379153